Healthcare Provider Details

I. General information

NPI: 1003371162
Provider Name (Legal Business Name): HILLARY ANASTASIA YEAGER BCO, BADO, CS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KEOKUK ST
IOWA CITY IA
52240-4551
US

IV. Provider business mailing address

2050 KEOKUK ST
IOWA CITY IA
52240-4551
US

V. Phone/Fax

Practice location:
  • Phone: 319-337-9724
  • Fax: 319-337-5445
Mailing address:
  • Phone: 319-337-9724
  • Fax: 319-337-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number17-387-23
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: